MR. JACOB A WOLFF (PAC MHS) – Physician Assistant, NPI 1164513305
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
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Provider Addresses for MR. JACOB A WOLFF (PAC MHS)
1807, North Hutchinson Road, Greenrich Village Apartments, Spokane Valley, Spokane County, Washington, 99212, United States
SPOKANE VALLEY, WA 992122444
Phone: (509) 456-7414
Fax: (509) 624-0763
Type: Mailing
Providence Sacred Heart Medical Center and Children's Hospital, 101, West 8th Avenue, Spokane, Spokane County, Washington, 99204, United States
SPOKANE, WA 992054805
Phone: (509) 474-3131
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 208 Open Payments records for all available years, with a total value of $3,776.
Total Amount is formed as General ($3,776) + Research ($0) + Ownership ($0) = $3,776.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($777).
Total Amount
$3,776
General + Research + Ownership
Payments
208
Total payment records
General Amount
$3,776
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $777 |
| ABBVIE INC. | $668 |
| Janssen Biotech, Inc. | $451 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $181 |
| Amgen Inc. | $157 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-09-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061107000198 | I | Physician Assistant | WA | TBD |
| I20200901001564 | I | Physician Assistant | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,067 | 266 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 680 | 571 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 463 | 409 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 339 | 315 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 249 | 226 | $0 |
Insurance plans in this area (ZIP 99212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OR | |
| Physician Assistant | NV | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | NV | |
| - | AK | |
| - | ID | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | TX | |
| Physician Assistant | OR | |
| Physician Assistant | OR |
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